Dr. R. Padmakumar
Laparoscopic & Obesity Surgeon

Adhesiolysis

Adhesiolysis

Adhesions are thick or thin bands of scar tissue between adjoining organs and structures. Adhesions are developed as part of the healing process from a previous surgical incision in the abdominal wall, or from a disease or an infection.  Adhesions mostly occur in the abdominal area and involve various organs in the area affecting the function of the organ.  The adhesion causes fluid accumulation leading to infection and inflammation.

Abdominal Adhesions occur in the abdominal area and may involve pelvic organs, intestine tissues and ovaries. Abdominal adhesions also occur from abdominal incisions or infections like appendicitis, Crohn’s disease, diverticulitis, endometriosis, pelvic inflammatory disease, etc. It is more common in open surgeries than laparoscopic surgeries. It is less common in laparoscopic surgeries because the cuts are smaller. So laparoscopic surgeries are preferred over open surgeries. Lot of abdominal surgeries can be performed laparoscopically, eg. laparoscopic appendectomy, laparoscopic cholecystectomy, laparoscopic gastrojejunostomy, laparoscopic gastroplasty, etc

The symptoms vary depending on the organs and tissues that are involved. If the intestinal tissues are involved in adhesions the symptoms include severe cramping pain and limit the gut movement.  Partial or complete bowel obstruction is caused when a segment of the bowel is tapered by an adhesion. This causes severe pain, nausea and vomiting.

In more severe cases of adhesions, the entire abdominal cavity along with the reproductive organs and intestines are distorted with adhesions. Large and thick bands of adhesions lead to a frozen state of the abdominal area and will necessitate complex surgical procedures.  

Adhesiolysis is a procedure performed to break up and remove adhesions. It is a minimally-invasive procedure. This procedure is also called Lysis of Adhesions. The treatment helps to treat adhesions that cause chronic pain and inflammation.  Antibiotics and medications are prescribed to reduce the chances of infection and to control the pain and discomfort caused by the procedure.

Adhesiolysis procedure comes with some risks such as infection, headache, dural puncture, swelling, increasing pain, excessive bleeding, or discharge from the incision site. The doctor provides special instructions and medications that have to be followed without fail to reduce the risk of complication.

Dr. R. Padmakumar is one of the Best Hernia Surgeon in India. He has been changing lives through Keyhole Surgery. He has got more than 30 years of hands-on experience in laparoscopic Surgery in major hospitals across India and has completed more than 7000 cases of Laparoscopic Hernia Surgeries. Dr. Padmakumar has trained more than 300 surgeons from all over the world the art of laparoscopic surgery especially Laparoscopic Hernia Surgery. Dr. Padmakumar is also hailed as one of the Best Bariatric Surgeon in India & UAE. He is renowned for new and improved treatment techniques and the first in the World to perform Scarless Bariatric Surgery with Tummy Tuck / Abdominoplasty. He is also one of the very few thyroid surgeons in India doing Endoscopic Thyroidectomy (scarless thyroid surgery).

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Contact Details

Dr. R. Padmakumar
MBBS, DNB, MNAMS, DipALS, FAIS, FIMSA, FCLS, FRCS (GL)
Senior Consultant Laparoscopic and Metabolic Surgeon &
Director - Verwandeln Institute (Transforming Lives)
CMD - Keyhole Clinic, Metro Pillar no. 448, Edappally, Kochi, Kerala, India
HOD - VPS Lakeshore Hospital, Maradu, Kochi, Kerala, India
(Specialist in Laparoscopy, Hernia, Cancer, Obesity Surgery or Bariatric Surgery, Diabetes Surgery, Endoscopic Thyroid Surgery, Thoracoscopy, Intragastric Balloon)

Website Dr. R. Padmakumar - www.drrpadmakumar.com


Mobile: +919447230370, +919846320370
Email: drrpadmakumar@gmail.com

Past Chairman, Association of Surgeons of India - Kerala Chapter, 2019 - 2020
National President - Indian Hernia Society (2016)
GC Member, Association of Surgeons of India (2013 - 2018)
Vice President- Society of Endoscopic and Laparoscopic Surgeons of India
Jt. Secretary - Indian Association of Endocrine Surgeons (2016)
Founder Member, Obesity and Metabolic Surgery Society Of India
Founder Member, Association of Minimal Access Surgeons of India
International Faculty of IASGO on Hernia and Diabetic Surgery
International Faculty of IFSO on Diabetic Surgery
Associate Editor : Diabetes and Obesity International Journal

Keyhole Clinic - Center for Obesity and Laparoscopy
Keyhole Clinic - Center for Obesity and Laparoscopy

Metro Pillar No. 448, Edappally, Kochi
Tel: 9847296357 / +919645222401

www.keyholeclinic.in